Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Family Dentistry, PLLC

Organization General Practice Dentistry · NPI 1659860393

Lakeside Family Dentistry, PLLC is a General Practice Dentistry in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2812 W Hefner Rd
Oklahoma City, OK 73120-6318
Phone: (405) 751-0358
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6796 (OK)

Record details

NPI number1659860393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Johnson — Business Advisor · (877) 221-7750
NPI enumeratedMay 8, 2018
Last updated in NPPESMay 8, 2018
Mailing address2812 W Hefner Rd, Oklahoma City, OK 73120-6318

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